A client asks the nurse if it is true that a diet high in fiber can help lower cholesterol. The nurse responds that:
1. "It is true for only some people.".
2. "Soluble fiber may help lower cholesterol.".
3. "Research has been inconclusive about the role of fiber in lowering cholesterol.".
4. "It is effective only when increased fiber consumption starts in young adulthood.".
2
Rationale: Soluble fiber has been shown effective in lowering cholesterol and the American Heart Association endorses consumption of a diet high in soluble to lower cholesterol. It is never too late to increase consumption of a diet higher in fiber, especially soluble fiber.
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During the maintenance phase of treatment a client asks the nurse "Do I have to keep taking this
lithium even though my mood is stable now?" The most appropriate response is a. "You will be able to stop the medication at the end of the month.". b. "Usually clients take medication for approximately 6 months after discharge.". c. "It is odd that the physician has not already discontinued your medication.". d. "Taking the medication each day helps prevent relapses and recurrences.".
A 73-year-old client is admitted to the unit experiencing bruising, confusion, and decreased urine output. The medical diagnosis is a urinary tract infection. The most appropriate nursing diagnosis is:
1. Ineffective Breathing Pattern. 2. Activity Intolerance. 3. Impaired Memory. 4. Risk for Falls.
Which is a cause of acute renal failure?
a. Cancer b. Dental work c. Asthma d. Burns, infection, or severe allergic reac-tions
The nurse evaluates a need for further instruction to reduce the symptoms of vaginal dryness when the 70-year-old patient says:
a. "Vaseline was good enough for my mother. It is good enough for me." b. "I use a water-soluble lubricant to aid intercourse." c. "I am trying an estrogen cream to see if it works." d. "I'll let you know how wild yams work for vaginal dryness."